Provider Demographics
NPI:1316166341
Name:GREBE, MARGARET L (MALMFT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:L
Last Name:GREBE
Suffix:
Gender:F
Credentials:MALMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2578A GRASS VALLEY HWY
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603-2532
Mailing Address - Country:US
Mailing Address - Phone:530-208-5636
Mailing Address - Fax:
Practice Address - Street 1:2578A GRASS VALLEY HWY
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-2532
Practice Address - Country:US
Practice Address - Phone:530-208-5636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29292106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist